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San Joaquin County <br /> Environmental Health Department <br /> 1 868 l Hazelton Ave <br /> Stockton, CA 95205-6232 <br /> Subject: CERTIFIED LIST OF RECORD FEC TITLE OWNERS FOR: <br /> SITE NAME: -I� <br /> ADDRESS: � '� °t � � . M a�'^ S � '(vA9,v,4 <br /> Complete#1 if there are multiple site]and owners. <br /> Complete#2 if you are the sole site landowner. <br /> 1. In accordance with Section 2.5297.15(x)of Chapter 6.7 of the Health « Safety Code: <br /> i�la�afc�or Prhyjary oti Active Responsible Party: <br /> l U+ a b E i2 K" certify that the follovving is a <br /> complete list of current record fee title owners and then inailirig addresses for the <br /> above site: <br /> 2.. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health& Safety Code: <br /> Name of ResponsiWe Pav y: <br /> 1, _ ___,certify I am the sole landowner for the <br /> above site. <br /> :sincerely, <br />